F lowers   Designs byCherylann    LTD.
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"FLOWERS TO WEAR" ORDER FORM
Flowers, Designs By Cherylann L.T.D.

Please complete this Prom flowers on-line order form then click the Submit Order button. You will receive a confirmation email of your order. Within 1 business day, you will receive a call from us and we will work with you to finalize your prom flower order.

Our business hours are
Tue-Fri 9:00AM-4:30PM
Sat 9:00AM-12:00PM
Closed Sunday and Monday

Boutonnieres $10 - $15 and up
Corsages $25 and up
Upgraded Sequin band $30
Upgraded Bejeweled / Crystal band $30 - $40

Please fill out this form and we will design your customized flowers to wear
NAME: PHONE: 
EMAIL ADDRESS: HIGH SCHOOL: 
DATE OF PICK UP: TIME OF PICK UP: 
SPECIAL REQUESTS: 
DRESS COLOR(S): SUIT COLOR(S): 
TYPE OF JEWELERY: 
gold, silver, pearl, etc.
CORSAGE SIZE: 
CORSAGE TYPE: 
wristlet, pin on, other (explain)
STYLE: 


Flowers Designs by Cherylann  233 East Derry Road Hershey PA. 17033 717.533.3391   Email: fleurs233@aol.com